HomeMy WebLinkAbout622 RHINE LN - Building Permits .. 4251.9 ;e—`
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
1 APPLICATION FOR STRUCTURAL PERMIT
For Applicant-to-Fill n•Compietely —Use Ink Only ' RECEIVED BY O•TE RECEIV D
BUILDING r — DE I SUE•4
ADDRESS 420 422 424626 Ramie Lw -', _ • D
OWNER
, ,I\�L � _7/ E�IrE/1�/1/lE1' i A.P. No. 1/-07 -0/
ADDRESS 74, 4 /I eaA BUILDING 6' - /2/ eve pre4 ' —L0 .
ADDRESS /s _ /j r/ cY `t/i Ns�-- Y
L ^ TEL. ' TRACT �/ / LOT / BLOCK
CITY qsf NO.
1
CONSTRUCTION tie A. 1 NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER /��
BRANCH `�/AIAI I
�J .�
' OWNER �etee2
ADDRESS ///J is VALUE �//,/s'
ARCHITECT TEL. USE d U4//v &AlUU $ /./u• ��
OR ENGINEER NO. -.
' FIRE
ADDRESS C LL��tt ZONE / TY'E 1 GROUP > 1
450 deZTLE2 . APPROVED ! u DATE EGD-7-6
-
CONTRACTOR BY
•
ADDRESS TEL. J '� C.• E NO.OF USE OF NEW 4 (J'.li•r
CITY NO. ` IPLANS BUILDING CONDO
STATE 2�� 9 CITY { YARDS APPROVED YARDS APPROVED
LIC. NO. ! LIC. NO. MAIN BUILDING ACCESSORY BUILDING
LQ SIZE NO.OF BLDGS. (FROM CA.STREET)
C. OF LOT I NOW ON LOT FRONT FT.
Q USE OF f
C& EXISTING BLDG. R SIDE P1 F�al FT,
CA
F Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
Li] a REAR FT. FT.
F• USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET,MAIN&
'C /�, s MAIN BLDGS. ACCESS. BLDGS.
VAR DATE
', ¢ am/r- tD�lJQ P CUP.# 71-77 APPROVED
., APPROVED J DATE O 'I 92G
G
CC OLD FOR SPFCI I REQUIREMENTS
S
A. I hereby acknowledge that I have read this application and state n
C that the above information is correct and agree to comply with m
G all laws regulating building construction, and I shall not employ
Z any person in violation of the workmen's compensation laws of E E
IQ the State of California.
_ • C
I herebycertifythat I amSO, FT. rq
properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, .` THE AMOUNT SHOWN UNDER VALUATION IS FOR ra
Cnapter 9, and that such licenses are in full force and effect, or I 'y: THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business II VALUATION37/ ac) • e
and Professions Code, Division 3,Chapter 9. PERMIT FEE $ N
Pa mettee of G de'Llte2 / 2,0 $•
PLAN CHECK $ Z¢/� /5 LL
Authorized Agent /5e coo
OOO TAX $ /a•fY 2 •
D1TOTAL PAID $ GZj, o
T